Australian Centre for Evidence Based Aged Care, La Trobe University, Australia.
Department of General Practice, The University of Melbourne, Australia.
Dementia (London). 2020 Jul;19(5):1364-1380. doi: 10.1177/1471301218798422. Epub 2018 Sep 6.
This paper considers the significance of how staff in residential aged care facilities interpret the non-verbal communication and behaviour of residents vis-a-vis their assessments of residents' preferences and ability to participate in decision-making. It highlights the risks associated with staff members' failure to interpret residents' non-verbal communication and behaviour with reference to residents' backgrounds and prior experiences. It also considers how non-verbal communication implemented by staff may impact residents' emotional state and, as a consequence, decision-making abilities. Drawing on interview data with aged care staff from Queensland and Victoria, it demonstrates that care staff in residential facilities appear to rely heavily on non-verbal signals in assessing the decision-making capacity and preferences of residents with dementia. It also indicates that many staff fail to consider residents' non-verbal communication and behaviour with due consideration of residents' individual histories.
这篇论文考虑了养老院工作人员如何解释居民的非言语交流和行为，以及他们对居民偏好和参与决策能力的评估的意义。它强调了工作人员未能根据居民的背景和以往经历来解释居民的非言语交流和行为所带来的风险。它还考虑了工作人员实施的非言语交流如何影响居民的情绪状态，并因此影响决策能力。本文利用昆士兰州和维多利亚州养老院工作人员的访谈数据，表明养老院的护理人员在评估痴呆症患者的决策能力和偏好时，似乎严重依赖非言语信号。它还表明，许多工作人员未能充分考虑居民的非言语交流和行为，以及居民的个人历史。
